Vourliotakis George, Xanthopoulos Dimitrios, Arnaoutoglou Helen M, Michalis Lampros K, Matsagas Miltiadis I
Department of Surgery, University of Ioannina, Greece.
Vascular. 2009 Nov-Dec;17(6):336-9. doi: 10.2310/6670.2009.00025.
A 58-year-old woman presented with gangrene of the left upper arm stump caused by an arteriovenous malformation originating from the subclavian artery. She had been treated unsuccessfully in the past with repeated attempts of coil embolization and débridement, but finally she underwent arm amputation. A 14 mm diameter occlusion self-expandable stent was placed in the left subclavian artery via ipsilateral brachial artery access, with immediate and complete interruption of arterial supply to the vascular malformation. This minimally invasive treatment provides an alternative method of management of arteriovenous malformations in the subclavian region.
一名58岁女性因起源于锁骨下动脉的动静脉畸形导致左上臂残端坏疽。她过去曾多次尝试进行弹簧圈栓塞和清创治疗，但均未成功，最终接受了手臂截肢手术。通过同侧肱动脉途径，在左锁骨下动脉置入了一枚直径14毫米的闭塞性自膨式支架，立即完全阻断了向血管畸形的动脉供血。这种微创治疗为锁骨下区域动静脉畸形的治疗提供了一种替代方法。
